Individual provider Active NPI

Deborah Kahn, MD

  • Internal Medicine Physician
  • Crum Lynne, PA
National Provider Identifier
1942371026
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R6586 Issued in TX
Practice address
1553 Chester Pike
Crum Lynne, PA 19022-1022
Phone
(610) 499-7180
Fax
(610) 876-0859
NPI assigned
Nov 13, 2006
Last updated
Dec 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R6586 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X R6586 TX

Addresses

Primary practice location

1553 Chester Pike
Crum Lynne, PA 19022-1022

Mailing address

7622 Louis Pasteur Dr
Ste 201
San Antonio, TX 78229-4019
Phone (210) 610-3859

Other identifiers 1

IdentifierTypeStateIssuer
001844059MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6586TXMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1942371026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-610-3859",
            "fax_number": "210-610-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 CHESTER PIKE",
            "city": "CRUM LYNNE",
            "state": "PA",
            "postal_code": "190221022",
            "telephone_number": "610-499-7180",
            "fax_number": "610-876-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6586",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R6586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001844059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crum Lynne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.